1992, 11-18 Permit App: 92010158 Residence 0 I 551
9', --- Spokane County_ / i '2 ? ti{
DEPARTMENT
OF BUILDINGS J L, `/ 7
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t 1303 BroadwayAvenue Spokane, WA 99260 (509) 456-3675
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ni --/- I _p 1t INFORMATION WORKSHEET /`/
PARCEL ER: //- (--7-1
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STREET ADDRESS: 5, � //g// N11(3E l J L 4) T
CITY/STATE/ZIP: ,5 Fp ,l{A Al , L,(,,1 4
SUBDIVISION: /?/ 4(C L MD/VT- F5 T/4T -S
BLOCK: 46/ LOT: 13 ZONE: DISTRICT:
LOT AREA: /Q 503— F/A: WIDTH: go DEPTH: / 30 R/W:
# OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT: (/ E
OWNER: L f9 le. kV T ,{d,,1 f 5,0 N PHONE: 5-0 9 - Gf W W- ,, ...5.-o 7
MAILING ADDRESS: E, / O O ci `( J
CITY TATE/ZIP: 5f6.9 le/4of6 G/t" `7 / ?/ 6
CONTACT: L, q , / 7-7qoNIP-SO /Y _PHONE: -9c21 - g3`C)/
SETBACKS: - FRONT: 3() ' LEFT: //( ((RIGHT:// it REAR: .5-0--
PERMIT
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PERMIT USE: J�
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BUILDING INFORMATION Cg
7 CONTRACTOR LICENSE NUMBER:
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CONTRACTOR: L i9/€/C y Y NI 4�Q� 0��R PHONE: - 5J,1 i4- cc)
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MAILING ADDRESS: E, / 3 g0
ARCHITECT/ENGINEER: _ / I , /
\i/Dp,�NE: - ______< ...
MAILING ADDRESS:
NEW: ✓ REMODEL: ADDITION; CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
PLEASE PROVIDE THE FOLLOWING INFORMATION FOR ENERGY CODE COMPLIANCE:
SPACE HEATING TYPE (Check One)
FORCED AIR ELECTRIC ELECTRIC BASEBOARD OR WALL MOUNT
FORCED AIR GAS HEAT PUMP
PROPANE OTHER:
FLAT CEILINGS R 13g DOORS U
VAULTED CEILINGS R WINDOWS U
ABOVE GRADE WALLS R GLAZING AREA 'i21
f %
BELOW GRADE WALLS R TOTAL FLOOR AREA� J TED SPACE:
FLOOR R 4'
SLAB ON GRADE R FURNACE EFFICIENCY RATING
PLEASE INDICATE ON YOUR PLANS:
The location of the radon vent, and the location of the vent fan area.
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SQUARE FOOTAGE:
MAIN FLOOR /140
SECOND FLOOR 7 7.5-
BASEMENT - FINISHED O
UNFINISHED .�
GARAGE �S
CARPORT Q
DECKS
ADDITIONAL AREAS:
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LENDER/BOND HOLDER:
ADDRESS
CONTACT PHONE
i 3 6/ elt ?cu( ,r/o, it ei /444:4
LARRY&JOANNE THOMPSON
LARRY THOMPON, BUILDER
E 13809 acrd AV
SPOKANE,WA 99218
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ADDRESS: ( c Z? j (r2h49131,eF__,,2_e__
ZONE: LLQ - j,
ROAD WIDTH:
FRONT: rte FLANKING:
COMMENTS:
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